How do you treat an infected IV site?
Management
- Stop the infusion at the first sign of redness or pain.
- Apply warm, moist compresses to the area.
- Document your patient’s condition and interventions.
- If indicated, insert a new catheter at a different site, preferably on the opposite arm, using a larger vein or a smaller device and restart the infusion.
What are five potential complications and the appropriate nursing interventions of IV therapy?
Complications of IV Therapy
- Phlebitis. Inflammation of the vein.
- Extravasation. This happens when the liquid in the IV leaks to the tissue surrounding the vein.
- Air Embolism. This happens when an air bubble (or air bubbles) enters the vein.
- Hypervolaemia. This is an abnormal increase in blood volume.
- Infection.
Which nursing intervention can help prevent the complication of IV infiltration?
Prevention. Measures to prevent infiltration and extravasation include selection of an appropriate site for catheter insertion, selection of an appropriate- size catheter, use of appropriate fluids, stabilization of the catheter, and use of proper administration techniques.
What are the recommended nursing interventions when an IV becomes infiltrated?
If you are concerned an IV is infiltrated, follow your facility policy and as a general guideline, discontinue the site and relocate the IV. If the infiltration is severe, apply warm compresses, elevate the arm, monitor the site and be sure to inform the healthcare provider.
What are the recommended nursing interventions when phlebitis is noted?
Monitor the patient’s vital signs and the I.V. site, and apply a warm, moist compress to the affected area as ordered. Continuous application of moist heat over 72 hours, along with administration of oral nonsteroidal anti-inflammatory agents, is the best treatment. Report phlebitis as an adverse patient outcome.
How do you reduce swelling from IV fluids?
How is it treated?
- Elevate the site as much as possible to help reduce swelling.
- Apply a warm or cold compress (depending on the fluid) for 30 minutes every 2-3 hours to help reduce swelling and discomfort.
- Medication-If recommended, medicine for extravasations is given within 24 hours for best effect.
What helps IV site pain?
The pain from superficial phlebitis can be treated at home by applying a warm compress to the affected area, and taking nonsteroidal anti-inflammatory pain relievers (NSAIDs) like ibuprofen (Motrin, Advil), naproxen (Aleve, Anaprox, Naproxen), and aspirin to prevent a blood clot in the leg.
How do you stop an IV site from bleeding?
Place sterile gauze over insertion site and apply gentle pressure until bleeding stops, usually for 2 to 3 minutes. If patient is on coagulation therapy, extended pressure will be required to stop bleeding at IV site for 5 minutes.
What nursing intervention can prevent infiltration?
Some possible treatments are: Elevate the site as much as possible to help reduce swelling. Apply a warm or cold compress (depending on the fluid) for 30 minutes every 2-3 hours to help reduce swelling and discomfort. Medication-If recommended, medicine for extravasations is given within 24 hours for best effect.
What should a nurse do if an IV is red or infiltrated?
Treatment
- Stop the infusion.
- Remove the IV.
- Mark the outline affected area with a marker.
- Photograph the affected area.
- Apply a hot or cold compress based on the type of IV fluid infiltrated.
- Elevate the extremity.
- Inject medication into the subcutaneous tissue.
What to do if IV site is swollen?
If you have bruising or swelling, put ice or a cold pack on the area for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin. Shower or bathe as usual. Be gentle using the area around the IV site for a day or two.
How do you treat an IV swelling?
What is nursing management of the patient receiving IV therapy?
Nursing Management of the Patient Receiving IV Therapy Venipuncture, or the ability to gain access to the venous system for administering fluids and medications, is an expected nursing skill in many settings.
How does a nurse choose an IV insertion site?
Next the nurse selects the most appropriate insertion site and type of cannula for a particular patient. Factors influencing these choices include the type of solution to be administered, the expected duration of IV therapy, the patient’s general condition, and the availability of veins.
Can a nurse help with an IV infusion?
A nurse certified in IV therapy or an IV team can be consulted to assist with initiating IV therapy. Maintaining an existing IV infusion is a nursing responsibility that demands knowledge of the solutions being administered and the principles of flow. In addition, patients must be assessed care-fully for both local and systemic complications.
How can I avoid an IV catheter associated infection?
Preventing IV Catheter Associated Infections. Bloodstream Infections (BSIs) are largely avoided when evidence-based prevention steps are taken during IV insertion and care. Teammates in all areas should be aware of the proper maintenance and care of IV catheters.
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